| 周林,周岚,曹梅利.一例胆总管腺癌终末期患者在ICU的安宁疗护实践A case of palliative care practice on an patient with end-stage common bile duct adenocarcinoma in ICU 周林,曹梅利,周岚[J].上海护理,2021,21(S1): |
| 一例胆总管腺癌终末期患者在ICU的安宁疗护实践A case of palliative care practice on an patient with end-stage common bile duct adenocarcinoma in ICU 周林,曹梅利,周岚 |
| A case of palliative care practice on a patient with end-stage common bile duct adenocarcinoma in ICU |
| DOI： |
| 中文关键词: ICU 终末期患者 安宁疗护 |
| 英文关键词:ICU end-of life patients palliative care |
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| 中文摘要: |
| 目的 总结及分享一例终末期患者在ICU安宁疗护实践的经验方法。方法 运用安宁疗护专科理念、知识、技能,帮助患者解决疼痛、呼吸困难、食欲不振等躯体不适症状；抓取重要时机与患者共情,觉察患者决策态度的改变；根据患者个体情况选择以家庭会议方式帮助患者及家属直面治疗进展不佳事实,签署放弃临终抢救相关知情同意书；通过对临死觉知的探讨帮助患者正视人生终点,与死亡和解。结果 患者对死亡释然,放下负担,转回病房,亲人陪伴下安静离世。 结论 ICU的特殊性导致安宁疗护实践的开展难度增加,专科护士在实践中应根据个体化特征选择合适的方法动态评估与开导,为终末期患者提供身、心、社和灵全方面照护,提高ICU患者的死亡质量,促进ICU安宁照护措施的实施及专科发展。 |
| 英文摘要: |
| 【Abstract】: Objective To summarize and share the experience and methods of an end-stage patient in ICU nursing practice. Methods Use the concepts, knowledge, and skills of the nursing specialty to help patients solve physical discomfort symptoms such as pain, dyspnea, loss of appetite, etc.; grasp important opportunities to empathize with patients, and perceive changes in patients’ decision-making attitudes; choose a family based on the patient’s individual situation Meetings help patients and their families face the fact that treatment is not progressing well, sign an informed consent form for giving up dying rescue; through the discussion of dying awareness, help patients face the end of life and reconcile with death. Results The patient was relieved of his death, put aside the burden, returned to the ward, and died quietly accompanied by relatives. Conclusion The particularity of ICU makes it more difficult to carry out the practice of peaceful nursing care. Specialist nurses should choose appropriate methods for dynamic assessment and enlightenment according to individual characteristics in practice, and provide end-stage patients with comprehensive physical, mental, social and spiritual care. Improve the death quality of ICU patients, promote the implementation of ICU tranquil care measures and the development of specialties. |
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